Which CPT codes should we use for tests using the Optos Panoramic200 technology?
We perform both Optos and Optos +. A. My answer must be somewhat evasive, since it is based on information from unpublished sources. This test was originally proposed for its own CPT code. It did not receive its own code because it was promoted as a screening test for the most part. However, the test is also being used in conjunction with fluorescein angiography, with the benefit of better visualization in the far periphery compared to standard fundus photographs. Coding authorities from organized ophthalmology have stated their belief that CPT code 92250 could be used when the Optos was substituting for fundus photography. Keep in mind that screening examinations are not covered and medical necessity, always the prime requirement for Medicare, must be present for billing the tests. For non-Medicare insurers, bundling issues may make the question moot in many instances. CPT codes copyright 2006 American Medical Association.
